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easy-graft®CLASSIC - Degradable Solutions AG

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<strong>easy</strong>-graft ® CLASSIC<br />

injectable<br />

insitu hardening<br />

100% synthetic bonegraft<br />

bionic sticky granules


A success story from<br />

the start-up to a<br />

specialist for bone<br />

graft biomaterials<br />

Together with leading dentists of the University of<br />

Zurich and experts in the field of biomaterials at ETH<br />

Zurich, we started in 1999 to develop a new therapy<br />

with the aim to prevent the atrophy of the alveolar<br />

crest after tooth extraction.<br />

First, we developed a phase pure ß-Tricalciumphosphate<br />

(ß-TCP) granulate for bone defect filling:<br />

calc-i-oss. Its high interconnected porosity, superior<br />

purity and histological prove of complete resorption<br />

is highly valued by the users.<br />

Thereafter, we succee -<br />

ded in coating the granules<br />

with a micro-meter<br />

thick layer of polylactic<br />

acid. This allows the<br />

user to glue the granules<br />

together. Thus, our<br />

product RootReplica<br />

was born. This exact<br />

copy of the extracted<br />

tooth root made from a<br />

resorbable bone graft stops post extraction bleeding,<br />

prevents the loss of the coagulum and maintains<br />

the alveolar ridge in both height and width. This<br />

therapy creates the optimal condition for any subsequent<br />

prosthetic treatment.<br />

Our newest achievement is the development of<br />

our “Biolinker” – an activator which transforms the<br />

coated granules into a sticky mass and thus allows<br />

the bone graft to be applied directly from its syringe<br />

to the defect. In contact with blood the biomaterial<br />

solidifies and forms a defect-analog, mechanically<br />

stable, but porous solid body, which will be replaced<br />

over time with bone tissue. We call our product <strong>easy</strong>graft:<br />

there is no “easier” way to fill bone defects.<br />

<strong>easy</strong>-graft bases on our long term experience in developing<br />

bone graft materials. It allows the user to<br />

treat bone defects in periodontology, oral surgery,<br />

implantology and after tooth extraction in the most<br />

simple and fastest way imaginable. Just try it out!<br />

I hope I was able to spark your interest in our biomaterials.<br />

Thank you for your trust in our products.<br />

Faithfully yours,<br />

High clinical benefits due to an innovative biomaterial concept<br />

• Osteo-regeneration and complete resorption of<br />

graft due to phase pure ß-Tricalciumphosphate<br />

• Ingrowth of cells due to interconnected open<br />

porosity<br />

• High porosity due to bionic structure of<br />

granules<br />

• Injectable putty due to fast resorbing<br />

polylactic acid coating<br />

• Prevention of bacterial colonialisation due to<br />

dense coating<br />

• No loss of granules due to solid body<br />

formation in situ<br />

• Blood uptake and tissue ingrowth due to<br />

porosity between granules<br />

• Hemostyptic effect<br />

• High biocompatibility demonstrated in<br />

histologic sections<br />

Dr. Kurt Ruffieux<br />

CEO <strong>Degradable</strong> <strong>Solutions</strong> <strong>AG</strong><br />

• Direct bone contact promotes tissue ingrowth<br />

• Bone formation in parallel to graft degradation


Socket preservation<br />

• Clean defect using indication specific standard procedure<br />

• Inject <strong>easy</strong>-graft ® CLASSIC from the syringe into the defect<br />

• Mold the sticky granules to fill the defect with a condenser<br />

• Excess granules may be removed easily with a scaler<br />

• Suture the wound as well as the indication allows.


Easy to use: mix – apply<br />

<strong>easy</strong>-graft ® CLASSIC consists of the<br />

unique biomaterial: bioceramic granules<br />

with a sticky surface. Apply directly into<br />

the defect, the bone graft will harden in<br />

situ within minutes...<br />

Step by step...<br />

Open the pouch with the syringe<br />

containing <strong>easy</strong>-graft ® CLASSIC granules,<br />

open the pouch with the Biolinker.<br />

Fill the Biolinker into the syringe.<br />

Mix both components and discard<br />

excess Biolinker.<br />

The granules are now sticky and may<br />

be applied directly into the bone defect.<br />

Literatur about DS Biomaterials<br />

Reichhardt, D. et al. 2006. Injectable and PLGA coated β-TCP granules hardening in situ: an in vitro<br />

study. Swiss Conference on Biomaterials, May 10th. - Thoma, K. et al. 2006. Bioabsorbable root analogue<br />

for closure of oroantral communications: A prospective case report. Oral Surg Oral Med Oral<br />

Pathol Oral Radiol Endod, in press. - Nair, R. et al. 2006. Biocompatibility of β-Tricalcium Phosphate<br />

Root Replicas in Porcine Tooth Extraction Sockets – A Correlative Histological, Ultrastructural, and<br />

X-ray Microanalytical Pilot Study. Biomaterials Applications, 0: 1-18, Jan 27.- Nair, R. et al. 2004.<br />

Observations on healing of human tooth extraction sockets implanted with bioabsorbable polylacticpolyglycolic<br />

acids (PLGA) copolymer root replicas: A clinical, radiographic and histological follow-up<br />

report of 8 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 97: 559-69, May. - Nair, R.<br />

et al. 2004. β-TCP/PLGA open porous scaffolds for the prevention of alveolar bone loss after tooth<br />

extraction: Evaluation in a mini-pig model. World Biomaterials Congress, May 17-21. - Maspero,<br />

FA, Ruffieux, K. 2004. β-TCP/PLGA open porous scaffolds for the prevention of alveolar bone loss<br />

after tooth extraction: scaffold characterization and in vitro degradation behaviour. World Biomaterials<br />

Congress, May 17-21. - Reichhardt, D., Ruffieux, K. 2004. Supporting Literature and References for<br />

calc-i-oss and calc-i-oss Ortho. TM-056, Dec 14. - Schmidlin, P. et al. 2004. Alveolarkammprävention<br />

nach Zahnextraktion – eine Literaturübersicht, Schweiz Monatsschr Zahnmed, 114: 328-336, April.<br />

Schugg, J. et al. 2002. Prävention der Alveolarkammatrophie nach Zahnextraktion durch Wurzelreplikas.<br />

DZW, 47: 14-15, Feb. - Maspero, FA et al. 2002. Resorbable defect analog PLGA scaffolds using<br />

C02 as solvent: Structural characterization, J Biomed Mater Res, 62: 89-98. - Heidemann, W. et al.<br />

2001. Degradation of poly(D,L)lactide implants with or without addition of calciumphosphates in vivo.<br />

Biomaterials, 22: 2371-2381. - Maspero, FA et al. 1999. Comparisons of the Degradation Behavior<br />

of two Open Porous PLGA-Scaffolds, Tissue Engineering Congress. - Suhonen, J., Meyer, B. 1996.<br />

Polylactic acid (PLA) root replica in ridge maintenance after loss of a vertically fractured incisor. Endod<br />

Dent Trumatol, 12: 155-160. - Suhonen, J. et al. 1995. Custom made Polyglycolic acid (PGA)-root<br />

replicas placed in extraction sockets of rabbits. Dt. Z Mund Kiefer Gesichts Chir. 19: 253-257.<br />

bionic sticky granules


Simplify your therapy<br />

Straight from the syringe into the defect ...<br />

<strong>easy</strong>-graft ® CLASSIC is the first biomaterial<br />

applied straight from the syringe into the defect<br />

where it subsequently hardens and creates<br />

a porous but stable bone graft. During the<br />

application the granules stick together and stay<br />

at the defect site.<br />

<strong>easy</strong>-graft ® CLASSIC is 100 % synthetic,<br />

completely resorbable and replaced by autologeous<br />

bone tissue within months.<br />

<strong>easy</strong>-graft ® CLASSIC is intended for use<br />

for all dental indications where bone grafts are<br />

needed.<br />

benefits in periodontology<br />

• <strong>easy</strong> modelling in the pocket<br />

• the sticky granules stay in the defect<br />

• no membrane needed<br />

• insitu hardening<br />

• reduction of pocket depth from 7up to 2 mm!


<strong>easy</strong>-graft ® CLASSIC<br />

Product <strong>easy</strong>-graft ® 150 <strong>easy</strong>-graft ® 400<br />

Reference no. C11-012 C11-013 C11-002 C11-003<br />

Units 3 x 0.15 ml 6 x 0.15 ml 3 x 0.4 ml 6 x 0.4 ml<br />

Granule size 500 – 630 µm 500 – 630 µm 500 – 1’000 µm 500 – 1’000 µm<br />

Material Pure phase ß-tricalcium phosphate (>99 %)<br />

Indication<br />

Small defects in oral surgery, implantology, socket preservation, and sinus<br />

floor elevation<br />

<strong>easy</strong>-graft ® CRYSTAL<br />

Reference no. C15-012 C15-013 C15-002 C15-003<br />

Units 3 x 0.15 ml 6 x 0.15 ml 3 x 0.4 ml 6 x 0.4 ml<br />

Granule size 450 – 630 µm 450 – 630 µm 450 – 1’000 µm 450 – 1’000 µm<br />

Material<br />

Indication<br />

Biphasic calcium phosphate (60 % HA / 40 % ß-TCP)<br />

Large bone defects and patients with reduced bone regeneration potential,<br />

e.g. in cystectomy, socket preservation, sinus floor elevation, bone spreading,<br />

guided bone regeneration (GBR), periodontal defects, periimplantitis<br />

calc-i-oss ®<br />

Reference no. A02-103B A02-103C A02-103D<br />

Units 3 x 0.5 g 3 x 1.0 g 3 x 2.0 g<br />

Granule size 315 – 500 µm 500 – 1’000 µm 1’000 – 1‘600 µm<br />

Material Pure phase ß-tricalcium phosphate (>99%)<br />

Indication<br />

General bone defects in oral surgery and implantology<br />

RootReplica<br />

The leading product against atrophy of the alveolar ridge after tooth extraction<br />

Recommended indications: Alveoles therapy after tooth extraction<br />

RootReplica TM Implant Kit Set of 3 Implants incl. Impression material<br />

3 scalpels, biomaterial (granules + membrane)<br />

Reference number C 01- 003<br />

RootReplica TM Equipment Kit Replicator, heated Condenser, Impression gun<br />

Reference number F 07- 01005<br />

<strong>Degradable</strong> <strong>Solutions</strong> <strong>AG</strong><br />

Wagistrasse 23<br />

CH-8952 Schlieren/Zurich<br />

Phone +41 43 433 62 60<br />

Fax +41 43 433 62 61<br />

www.degradable.ch<br />

dental@degradable.ch

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